Adolescent Idiopathic Scoliosis Case 22

A 21 year old female presented to Dr. Pashman with Progressive Adolescent Idiopathic Scoliosis. The patient had been followed for scoliosis, and was compliant wearing her brace. Her spinal curvature progressed despite physical therapy and bracing. Dr. Pashman treated her with a Posterior Spinal Fusion T3-L1.

Case Review:

21 year old female with Progressive Adolescent

Patient History:

21 year old female
Followed for Adolescent Idiopathic Scoliosis
She has noticed that the curve has gotten bigger, and that she has lost height
Intermittent low back pain

Pre-op X-rays:

The patient has depression of her left shoulder, approximately 5 degrees. The patient has global truncal shift 2 cm. She has a right thoracic curve that measures 54 degrees, a compensatory left lumbar curve that measures 27.5 degrees of proximal thoracic curve that measures 31 degrees.

Bending X-rays:

The left- sided bending films shows that the L1 vertebra and T12 vertebrae go all way up to neutrality. On left-sided bending the right thoracic curve is flexible to approximately 38 degrees.